Physical
Height:
5'10"
(177 cm) |
Weight:
138 lb
(62 kg) |
Eye Color:
Brown
|
Hair:
Brown/
Straight |
Skin Tone:
Medium Light
|
Ancestry:
Caucasian
|
Blood Type:
O+
|
Ethnic Background:
Norwegian-Swedish/German-Swedish
|
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Education:
BS/Natural Resources
|
Occupation:
Natural Resources Management
|
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Interests:
|
Beach-going, Camping, Canoeing, Kayaking, Outdoor Recreation, Sightseeing, Skiing
|
Medical
Question | Response |
Have you or any of your family members been diagnosed with alcoholism or drug addiction? If yes, relation and age affected: | No |
Any dietary restrictions? If yes, explain: | No |
Do you wear glasses or contact lenses? Are you near or far-sighted? | Yes - Near-sighted |
Allergies (medicines, food, pollens)? If yes, please list substance and reaction caused: | Yes - Horses, some cats: Cause sneezing |
CMV IgG Antibody | Positive |
CMV IgM Antibody | Negative |
Note any comments regarding above items: | N/A |
Family Medical HistorySee list of questions asked here
Your Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 68 | |
Health Problem | Low blood pressure, controlled with medication (ages 64-66) | 64 |
Living / Dead | Living |
Your Father
Question | Response | Comment/Age Affected |
Current age or age at death | 62 | |
Health Problem | Healthy | |
Living / Dead | Living |
Brothers
Your Brother 1
Question | Response | Comment/Age Affected |
Current age or age at death | 41 | Maternal half brother |
Health Problem | Healthy | |
Living / Dead | Living |
Your Brother 2
Question | Response | Comment/Age Affected |
Current age or age at death | 27 | |
Health Problem | Asthma, controlled with inhaler as needed, outgrew | 8 |
Living / Dead | Living |
Sisters
Your Sister 1
Question | Response | Comment/Age Affected |
Current age or age at death | 39 | Maternal half sister |
Health Problem | Appendicitis, treated with surgery | 29 |
Living / Dead | Living |
Your Mother's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 87 | |
Health Problem | Emphysema, controlled with oxygen therapy | 77 |
Cause of death: Emphysema | 87 | |
Living / Dead | Dead |
Your Mother's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 87 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 65 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Sisters 2
Question | Response | Comment/Age Affected |
Current age or age at death | 61 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Sisters 3
Question | Response | Comment/Age Affected |
Current age or age at death | 54 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 55 | |
Health Problem | Cause of death: Suicide (situational, no history of depression or related medical conditions) | 55 |
Living / Dead | Dead |
Your Father's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 84 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 80 | |
Health Problem | Osteopenia, controlled with calcium supplement | 80 |
Living / Dead | Living |
Your Father's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 65 | |
Health Problem | Shingles, no treatment | 63 |
Living / Dead | Living |
Your Father's Sisters 2
Question | Response | Comment/Age Affected |
Current age or age at death | 62 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Sisters 3
Question | Response | Comment/Age Affected |
Current age or age at death | 51 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 51 | |
Health Problem | Healthy | |
Living / Dead | Living |
Religion:
Faith | None |
Denomination | Atheist |
Updates to Profile
Update Available | Yes |
Updates - Personal | No change to donor Personal Profile: February 2019, August 2020, December 2022, September 2023. |
Updates - Medical | No change to donor Medical Profile: February 2019, August 2020, December 2022, September 2023. |
Updates - Family Medical History | Update received February 2019: Mother was diagnosed with cataracts at age 72; Maternal aunt #2 was diagnosed with melanoma at age 64, treated with surgery. No change to profile: August 2020. Update received December 2022: Donor reports the birth of a healthy daughter. No change to donor Family Medical History: September 2023. |